在呼吸暂停测试过程中,气管内充氧与危及生命的气压创伤有关。

IF 0.9 Q4 CLINICAL NEUROLOGY Case Reports in Neurological Medicine Pub Date : 2024-09-27 eCollection Date: 2024-01-01 DOI:10.1155/2024/9518817
Saud Ali Aljasir, Fahad Abdullah Alshammari, Jehan Abdullah Abdul-Aziz Fatani, Abdalrhman Al Saadon, Abdulaziz H Alzeer
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引用次数: 0

摘要

呼吸暂停测试是诊断脑死亡或更具体地说是脑干死亡的标准方法;然而,必须认识到在此过程中可能会造成肺损伤,并遵循可降低并发症风险的临床实践指南建议。有两例气压创伤导致气胸的病例是在使用高于建议氧流量的呼吸暂停测试中发生的。需要更多的数据来明确这种危及生命的并发症的机制和发生率。
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Endotracheal Oxygen Insufflation Associated with Life-Threatening Barotrauma during Apnea Testing.

Apnea testing is a standard method when diagnosing brain or more specifically brainstem death; however, it is imperative to acknowledge the potential for lung injury during this procedure and follow clinical practice guideline recommendations that may reduce the risk of complications. Two cases of barotrauma leading to pneumothorax occurred during apnea tests that used higher-than-recommended oxygen flow rates. Additional data are necessary to clarify the mechanism and incidence of this life-threatening complication.

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审稿时长
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